Manor Total Dental and Orthodontics Pllc

NPI #1285168377 in Manor, Texas

Provider Information

NPI Number: 1285168377
Entity Type: Organization
Organization Name: Manor Total Dental and Orthodontics Pllc
Primary Specialty: Dentist
Enumeration Date: Apr 14, 2017
Last Updated: Oct 23, 2018

Practice Location

Address: 11828 RING DR
Address 2: SUITE 102
City: Manor
State: Texas
ZIP Code: 78653
Phone: (512) 649-3339

Authorized Official

Name: FAITH GASKINS
Title: DIRECTOR OF CREDENTIALING
Phone: (972) 869-3789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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